Individual
DR. MARC L BENDETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1226 W BROADWAY, HEWLETT, NY 11557-1923
(516) 374-4444
(516) 374-4445
Mailing address
1226 W BROADWAY, HEWLETT, NY 11557-1923
(516) 374-4444
(516) 374-4445
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
N002369-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00400651
—
NY
01
—
1181270001
MEDICARE NCS
NY
01
—
480911059
RAILROAD MEDICARE
NY
Enumeration date
05/31/2005
Last updated
04/24/2008
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